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Discussion Paper Details

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Title: A Dynamic Analysis of the Demand for Health Insurance and Health Care

Author(s): Jonneke Bolhaar, Maarten Lindeboom and Bas van der Klaauw

Publication Date: September 2008

Keyword(s): advantageous selection, health care utilization, moral hazard, panel data and supplementary private health insurance

Programme Area(s): Public Economics

Abstract: We investigate the presence of moral hazard and advantageous or adverse selection in a market for supplementary health insurance. For this we specify and estimate dynamic models for health insurance decisions and health care utilization. Estimates of the health care utilization models indicate that moral hazard is not important. Furthermore, we find strong evidence for advantageous selection, largely driven by heterogeneity in education, income and health preferences. Finally, we show that ignoring dynamics and unobserved fixed effects changes the results dramatically.

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Bibliographic Reference

Bolhaar, J, Lindeboom, M and van der Klaauw, B. 2008. 'A Dynamic Analysis of the Demand for Health Insurance and Health Care'. London, Centre for Economic Policy Research. https://cepr.org/active/publications/discussion_papers/dp.php?dpno=6968